Assessment of Physical Activity in Anorexia Nervosa and Treatment Outcome.

Assessment of Physical Activity in Anorexia Nervosa and Treatment Outcome.

Med Sci Sports Exerc. 2013 Mar 7;
Alberti M, Galvani C, El Ghoch M, Capelli C, Lanza M, Calugi S, Grave RD

PURPOSE: To compare objective and subjective assessments of physical activity (PA) in patients with anorexia nervosa and its effect on treatment outcome. METHODS: Both Actiheart (AH) and International Physical Activity Questionnaire (IPAQ) were used to assess PA in 52 female patients with anorexia nervosa during the first week of inpatient treatment. RESULTS: No correspondence between PA estimated by IPAQ, which had a tendency to underestimate PA, and that measured by means of AH emerged. A significant association was, however, found between the change in Eating Disorder Examination global score at the end of the treatment and light physical activity (LPA) measured by AH(beta = -0.12, t = -2.44, P = 0.019), but not that estimated by IPAQ. CONCLUSION: PA in patients with anorexia nervosa is underestimated by subjective assessment when compared with objective measurement. Only time spent in LPA, assessed objectively with AH, showed a negative association with improvement in eating disorder psychopathology. HubMed – eating


Acceptance and Commitment Therapy as a Novel Treatment for Eating Disorders: An Initial Test of Efficacy and Mediation.

Behav Modif. 2013 Mar 8;
Juarascio A, Shaw J, Forman E, Timko CA, Herbert J, Butryn M, Bunnell D, Matteucci A, Lowe M

Eating disorders are among the most challenging disorders to treat, with even state-of-the-art cognitive-behavioral treatments achieving only modest success. One possible reason for the high rate of treatment failure for eating disorders is that existing treatments do not attend sufficiently to critical aspects of the disorder such as high experiential avoidance, poor experiential awareness, and lack of motivation. These variables are explicit targets of Acceptance and Commitment Therapy (ACT). The current study examined the efficacy of an ACT-based group treatment for eating disorders by examining whether the addition of ACT groups to treatment-as-usual (TAU) at a residential treatment facility for eating disorders would improve treatment outcomes. TAU patients received an intensive residential treatment, while ACT patients received these services but additionally attended, depending on diagnosis, either ACT for anorexia nervosa groups or ACT for bulimia nervosa groups. Although individuals in both treatment conditions demonstrated large decreases in eating pathology, there were trends toward larger decreases among those receiving ACT. ACT patients also showed lower rates of rehospitalization during the 6 months after discharge. Overall, results suggest that ACT is a viable treatment option for individuals with eating pathology and further outcome research is warranted. HubMed – eating


Facial emotion recognition in child psychiatry: A systematic review.

Res Dev Disabil. 2013 Mar 5; 34(5): 1505-1520
Collin L, Bindra J, Raju M, Gillberg C, Minnis H

This review focuses on facial affect (emotion) recognition in children and adolescents with psychiatric disorders other than autism. A systematic search, using PRISMA guidelines, was conducted to identify original articles published prior to October 2011 pertaining to face recognition tasks in case-control studies. Used in the qualitative synthesis were: 2 studies on schizophrenia, 18 on mood disorders, 16 on anxiety disorders, 4 on eating disorders, 14 on ADHD and 9 on conduct disorder. Our review suggests that there are abnormalities in facial emotion recognition in a wide range of child psychiatric disorders and that these are likely to have a negative effect on both family and peer relationships. Scope for further research has been identified. HubMed – eating